Britni Jordan Hosick, LCSW

Individual provider Active NPI Clinical Social Worker · Vandalia, IL

NPI 1487237756 · NPPES record last updated May 4, 2021

Key facts

NPI
1487237756
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.022899 (IL)
Practice address
320 N 6TH St
Vandalia, IL 62471-2237
Phone
(405) 831-6437
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149.022899ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022899 IL Yes

Addresses

Primary practice location

320 N 6TH St
Vandalia, IL 62471-2237

Mailing address

320 N 6TH St
Vandalia, IL 62471-2237
Phone (405) 831-6437

Other providers in Vandalia, IL

All providers in Vandalia, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.